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首页> 外文期刊>Family practice. >Effects of educational outreach visits on prescribing of benzodiazepines and antipsychotic drugs to elderly patients in primary health care in southern Sweden.
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Effects of educational outreach visits on prescribing of benzodiazepines and antipsychotic drugs to elderly patients in primary health care in southern Sweden.

机译：瑞典南部初级保健机构中的教育外联访问对老年患者开具苯二氮卓类药物和抗精神病药的影响。

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BACKGROUND: Different methods have previously been tested to affect GPs' prescribing habits. Attention has been drawn to benzodiazepines and antipsychotic drugs that are associated with several adverse effects in the elderly. OBJECTIVE: To evaluate if educational outreach visits to GP practices can affect the prescribing of benzodiazepines and antipsychotic drugs to the elderly and to evaluate the opinions of the participating GPs on such education. METHODS: In the county of Skane, Sweden, 41 GP practices were invited to participate in educational outreach visits. Fifteen GP practices accepted the invitation. Practices were randomised to active (8 practices, 23 physicians) and control group (7 practices, 31 physicians). After the educational outreach visits prescribing of benzodiazepines and antipsychotic drugs to patients 65 years or older were measured for 1 year. The control group participated in the education after the study period. The opinions of GPs on educational outreach visits were evaluated.RESULTS: One year after the educational outreach visits there were significant decreases in the active group compared to control group in the prescribing of medium- and long-acting benzodiazepines and total benzodiazepines but not so for antipsychotic drugs. CONCLUSIONS: Educational outreach visits can be effective in modifying GPs' prescribing habits. We have shown this to be so for prescribing of benzodiazepines to elderly patients in primary health care. Educational outreach visits are also very well appreciated by participating GPs.
机译：背景：先前已经测试了不同的方法来影响GP的处方习惯。人们已经注意到苯二氮卓类药物和抗精神病药与老年人的几种不良反应有关。目的：评估对全科医生实践的教育外访是否会影响向老年人开具苯二氮卓类药物和抗精神病药的处方，并评估参与的全科医生对此类教育的看法。方法：在瑞典的斯坎县，邀请了41名全科医生参加了教育访问。 15名GP执业者接受了邀请。实践被随机分为活跃的（8个实践，23位医生）和对照组（7个实践，31个医师）。在教育外展访问之后，对65岁或65岁以上的患者开出苯二氮卓类药物和抗精神病药的处方，进行了1年的测量。研究期结束后，对照组参加了教育。结果：在教育外展访问一年后，中，长效苯并二氮杂和总苯并二氮杂的处方相对于对照组而言，活动组明显减少，而对于对照组抗精神病药。结论：教育外访可以有效地改变全科医生的处方习惯。我们已经证明在初级保健中向老年患者开具苯二氮卓类药物是这样。参与的全科医生也非常赞赏教育宣传活动。

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